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Our Malady: Lessons in Liberty from a Hospital Diary

von Timothy Snyder

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"From the author of On Tyranny comes an urgent diagnosis of an American malady: our heartless system of commercial medicine and our politics of pain. On December 29, 2019, historian Timothy Snyder fell gravely ill. Unable to stand, barely able to think, he waited for hours in an emergency room before being correctly diagnosed and rushed into surgery. Over the next few days, as he clung to life and the first light of a new year came through his window, he found himself reflecting on the fragility of health, not recognized in America as a human right, but without which all rights and freedoms have no meaning. And he had no idea how much worse things could get. Now, American hospitals, long understaffed and undersupplied, are buckling under waves of coronavirus patients. The federal government has responded with willful ignorance, misinformation, and profiteering. Even with public life at a standstill, thousands of Americans continue to die, needlessly, every single day. In this eye-opening cri de coeur, Snyder traces the societal forces that led us here and outlines the lessons we must learn to survive. In examining some of the darkest moments of recent history and of his own life, Snyder finds glimmers of hope, and principles that could lead us out of our current malaise. Only by enshrining healthcare as a human right, elevating the authority of doctors and medical knowledge, and planning for our children's future can we create an America where everyone is truly free"--… (mehr)

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Angry, justifiably so. (

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cathy.lemann | Mar 21, 2023 |

After nearly dying from a preventable post-appendectomy liver infection in a Connecticut hospital in 2019, Timothy Snyder draws upon his expertise on authoritarianism in the 20th century to declare the failure of our health care system is the consequence of a capitalist endemic. We are disproportionately sick and dying compared to our global peers, because our hospitals revolve around money, in which each patient is measured by profit. Snyder has such an approachable, down-to-earth writing style that this is a very quick read to spark passion for the wellbeing of our communities. (

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librarianlion | Nov 22, 2022 |

As an outside observer, much of what was written in this book could be surmised over time but the reality brought to light by someone who is there, who experiences it first hand, who has the tools to expose the truth...is devastating in its painful reality. I am so grateful to be a Canadian. I have such pity for Americans. How is it even conceivable that a man who is directly responsible for the deaths of at least 300,000 Americans is not only still walking free and has access to media to continue his lies but has followers who will try to put him back in power. This book exposes the truth but does not offer hope. Juxtaposed with what one sees and hears on American media...the situation is getting worse not better since he wrote and published this exposition of the reality of life for the average American. (

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Karen74Leigh | Mar 13, 2022 |

Another serious but short non-fiction read from author [[Timothy Syder]], who also wrote the book [On Tyranny].

Snyder had a botched diagnoses in three different hospitals (granted the first hospital was in Germany). This led to a significant oversight that very nearly led to his death. During his prolonged hospitalization he also contracted Covid at the start of the pandemic.

At the third hospital, he arrived in the company of a black female doctor who asserted rightly to the staff that Snyder was very close to death. She was dismissed, in what Snyder believes was blatant racism on the part of Emergency Room staff.

Snyder has very serious allegations against the US health care system. He makes a strong case for healthcare as a right and advocates non-commercial health care for all.

“Black women often die in childbirth and so do their babies. The mortality rate of babies borne by African American women is higher than in Albania,, Kazakhstan, China and about seventy other countries. America as a whole does worse than Belarus, the most Soviet of the post-Soviet states; and Bosnia, an awkward creation of the Yugoslav Civil war – not to mention forty other countries. “ P14

“Our system of commercial medicine, dominated by private insurance, regional groups of private hospitals and other powerful interests, looks more and more like a numbers racket. We would like to think we have health care that incidentally involves some wealth transfer; what we actually have is wealth transfer that incidentally involves some health care.” P 14

“Our malady is particular to America. We die younger than people in twenty-three European countries; we die younger than people in Asia (Japan, South Korea, Hong Kong, Singapore, Israel, Lebanon); we die younger than people in our hemisphere (Barbados, Costa Rica, Chile); we die younger than people in other countries with histories of British settlement (Canada, Australia, New Zealand)" P 14. (

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streamsong | Mar 1, 2022 |

This is a passionate plea for a reform of the US health system from the noted historian Timothy Snyder. It is a very personal plea since it stems from the authors own on-going experience with his own health emergency. He is able to compare the US health system with health systems in other countries based upon his own experiences with hospitals in other countries. (

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M_Clark | Mar 3, 2021 |

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Black women often die in childbirth and so do their babies. The mortality rate of babies borne by African American women is higher than in Albania,, Kazakhstan, China and about seventy other countries. America as a whole does worse than Belarus, the most Soviet of the post-Soviet states; and Bosnia, an awkward creation of the Yugoslav Civil war – not to mention forty other countries. “ P14

“Our system of commercial medicine, dominated by private insurance, regional groups of private hospitals and other powerful interests, looks more and more like a numbers racket. We would like to think we have health care that incidentally involves some wealth transfer; what we actually have is wealth transfer that incidentally involves some health care.” P 14

“Our malady is particular to America. We die younger than people in twenty-three European countries; we die younger than people in Asia (Japan, South Korea, Hong Kong, Singapore, Israel, Lebanon); we die younger than people in our hemisphere (Barbados, Costa Rica, Chile); we die younger than people in other countries with histories of British settlement (Canada, Australia, New Zealand)" P 14.

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"From the author of On Tyranny comes an urgent diagnosis of an American malady: our heartless system of commercial medicine and our politics of pain. On December 29, 2019, historian Timothy Snyder fell gravely ill. Unable to stand, barely able to think, he waited for hours in an emergency room before being correctly diagnosed and rushed into surgery. Over the next few days, as he clung to life and the first light of a new year came through his window, he found himself reflecting on the fragility of health, not recognized in America as a human right, but without which all rights and freedoms have no meaning. And he had no idea how much worse things could get. Now, American hospitals, long understaffed and undersupplied, are buckling under waves of coronavirus patients. The federal government has responded with willful ignorance, misinformation, and profiteering. Even with public life at a standstill, thousands of Americans continue to die, needlessly, every single day. In this eye-opening cri de coeur, Snyder traces the societal forces that led us here and outlines the lessons we must learn to survive. In examining some of the darkest moments of recent history and of his own life, Snyder finds glimmers of hope, and principles that could lead us out of our current malaise. Only by enshrining healthcare as a human right, elevating the authority of doctors and medical knowledge, and planning for our children's future can we create an America where everyone is truly free"--

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